| Timothy Allen Bryant, PHD | |
| 
					1205 River Ave Fl 2, Williamsport, PA 17701-3724  | |
| (570) 326-4118 | |
| (570) 326-5533 | 
| Full Name | Timothy Allen Bryant | 
|---|---|
| Gender | Male | 
| Speciality | Marriage & Family Therapist | 
| Location | 1205 River Ave Fl 2, Williamsport, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1396715520 | NPI | - | NPPES | 
| 1035097520001 | Medicaid | PA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MF000005 (Pennsylvania) | Primary | 
| Entity Name | Family Practice Center Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1154376937 PECOS PAC ID: 0244124212 Enrollment ID: O20040211000012  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Timothy Allen Bryant, PHD 7 Dock Hill Rd, Middleburg, PA 17842-8910 Ph: (570) 837-2123  | Timothy Allen Bryant, PHD 1205 River Ave Fl 2, Williamsport, PA 17701-3724 Ph: (570) 326-4118  | 
Michael Thomas Gallick, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1100 Grampian Blvd, Williamsport, PA 17701 Phone: 570-320-7525 Fax: 570-320-7484  | |
Sylvia Beiler, M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 520 W 4th St, Suite 2, Williamsport, PA 17701 Phone: 570-747-0120 Fax: 570-505-1228  | |
Elizabeth Holcomb,  Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 425 Market St Ste 201, Williamsport, PA 17701 Phone: 570-203-0203  |